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Individual

ALEJANDRO RENE MOLINA MARMOL JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
585 TELEGRAPH CANYON RD, CHULA VISTA, CA 91910-6436
(619) 421-7010
Mailing address
3975 CAMINO DE LA PLZ # 208-6189, SAN YSIDRO, CA 92173-5919

Taxonomy

Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
105936
CA

Other

Enumeration date
01/11/2021
Last updated
01/11/2021
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